Facility Evaluation Report
Licensing Program Analyst (LPA) Huma Rahimi conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20230512112037. LPA met with the Administrator, Juan Sandoval. LPA explained the reason for the visit.
During the visit, LPA was informed that on 05/04/2023, C1 arrived at the Day-Program with a bump on his right check and below the check area and upper eyebrow area from one of the group homes. The Administrator contacted the group home supervisor/House Service Coordinator to inform them of the incident. C1 was assessed by the house nurse at the group home by the evening and later taken to the ER for further medical assessment. However, no incident report was submitted to the Community Care Licensing Department (CCLD) in a timely manner. In addition, the Administrator admitted that no incident report was submitted to the Regional Office (RO). Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPA informed the Administrator that all staff members are mandated reporters and they are all responsible for reporting.
LPA informed the Administrator to submit an incident report that occurred on or before :
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction